Yakakura trochanteric pain syndrome

Greater trochanteric pain syndrome (GTPS) kurwadziwa kunoitika kunze kwehudyu. Iyo huru trochanter iri pamusoro pegumbo (femur) uye ndiyo inonyanya kuzivikanwa chikamu chehudyu.

GTPS inogona kukonzerwa ne:

• Kunyanyisa kana kushushikana pachiuno kubva mukurovedza muviri kana kumira kwenguva yakareba
• Kukuvara kwehudyu, kwakadai sekudonha
• Kunyanya kufuta
• Kuva negumbo rimwe rakareba kudarika rimwe
• Bonzo rinobuda pachiuno
• Arthritis yechiuno, ibvi, kana tsoka
• Zvinorwadza matambudziko etsoka, senge bunion, callas, plantar fasciitis, kana Achilles tendon kurwadziwa
• Matambudziko emusana, kusanganisira scoliosis uye arthritis yemuzongoza
• Kusanzwisisana kwemhasuru kunoisa kusagadzikana kwakatenderedza mhasuru dzehudyu
• Kuchema mumhasuru yemhasuru
• Utachiona (zvisingawanzoitiki)

GTPS inowanzoitika kune vakura vakuru. Kuva kunze kwechimiro kana kuwandisa muviri kunogona kukuisa panjodzi huru yehup bursitis. Vakadzi vanobatwa zvakanyanya kupinda varume.

Zviratidzo zvakajairika zvinosanganisira:

• Marwadzo padivi pehudyu, ayo anogona zvakare kunzwika kunze kwechidya
• Marwadzo akapinza kana akasimba pakutanga, asi anogona kuwedzera kurwadziwa
• Kunetsa kufamba
• Kuomarara kwakabatana
• Kuzvimba uye kudziya kwekubatana kwechiuno
• Kubata uye kudzvanya kunzwa

Unogona kucherechedza kurwadziwa kwacho kana:

• Kubuda pachigaro kana pamubhedha
• Kugara kwenguva yakareba
• Kufamba pamatanho
• Kurara kana kurara padivi rakabatwa

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako. Iye mupi anogona kuita zvinotevera panguva yebvunzo:

• Kumbira iwe kunongedzera kunzvimbo yemarwadzo
• Inzwa uye dzvanya panzvimbo yako yehudyu
• Fambisa hudyu yako negumbo paunenge wakarara patafura yekubvunzo
• Kumbira iwe kuti umire, famba, gara pasi uye simuka
• Edza kureba kwegumbo rimwe nerimwe

Kuti utonge kunze mamwe mamiriro anogona kukonzeresa zviratidzo zvako, unogona kunge uine bvunzo dzakadai se:

• X-ray
• Ultrasound
• MRI

Zviitiko zvakawanda zveGTPS zvinoenda nekuzorora uye kuzvitarisira. Mupi wako anogona kukurudzira kuti iwe uedze zvinotevera:

• Shandisa chando pack kane kana katatu pazuva kwemazuva maviri kana matatu ekutanga.
• Tora zvinodzora marwadzo senge ibuprofen (Advil, Motrin) kana naproxen (Aleve, Naprosyn) kubatsira kubvisa marwadzo nekuzvimba.
• Dzivisa zviitiko zvinoita kuti marwadzo awedzere.
• Kana uchirara, usarara pamativi ane bursitis.
• Dzivisa kumira kwenguva refu.
• Kana wamira, mira pane yakapfava, yakavezwa pamusoro. Isa chiyero chakaenzana chehuremu pagumbo rimwe nerimwe.
• Kuisa mutsago pakati pemabvi ako paunenge wakarara parutivi rwako kunogona kubatsira kudzikisa marwadzo ako.
• Pfeka shangu dzakasununguka, dzakasungwa zvine chitsitsinho chakaderera.
• Deredza uremu kana iwe uri kufuta.
• Simbisa yako mhasuru mhasuru.

Sezvo marwadzo anoenda, mupi wako anogona kukurudzira kurovedza muviri kuvaka simba uye kudzivirira mhasuru atrophy. Iwe ungangoda kurapwa kwemuviri kana uchinetseka kufambisa mubatanidzwa.

Mimwe mishonga inosanganisira:

• Kubvisa fluid kubva kubursa
• Steroid jekiseni

Kubatsira kudzivirira marwadzo ehudyu:

• Gara uchidziya uye wotambanudza usati waekisesaiza uye wozotonhora pasi mushure. Tambanudza yako quadriceps uye hamstrings.
• Usawedzere chinhambwe, kusimba, uye huwandu hwenguva yaunoshandisa zvese panguva imwe chete.
• Dzivisa kumhanya wakananga pasi pemakomo. Famba pasi panzvimbo.
• Shambira pane kumhanya kana kuchovha bhasikoro.
• Mhanya pane yakatsetseka, yakapfava pamusoro, senge nzira. Dzivisa kumhanya pasamende.
• Kana iwe uine tsoka dzakapetana, edza yakakosha shangu yekuisa uye arch tsigiro (orthotic).
• Ita shuwa kuti shangu dzako dzekumhanya dzinokwana mushe uye uine yakanaka yekukochekera

Fonera waunopa kana zviratidzo zvadzoka kana kusavandudza mushure memasvondo maviri ekurapwa.

Tora rubatsiro rwechiremba ipapo kana uine chero chinotevera:

• Huru yako kurwadziwa kunokonzerwa nekudonha kwakakomba kana kumwe kukuvara
• Gumbo rako rakaremara, rakakuvara zvakanyanya, kana kubuda ropa
• Iwe haugone kufambisa chiuno chako kana kutakura chero huremu pagumbo rako

Kutambudzika kwehudyu - yakakura trochanteric pain syndrome; GTPS; Bursitis yehudyu; Hip bursitis

Fredericson M, Lin CY, Chew K. Yakakura trochanteric pain syndrome. Mune: Frontera WR, Sirivha JK, Rizzo TD, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 62.

Javidan P, Gortz S, Fricka KB, Bugbee WD. Muhudyu. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 85.

• Bursitis
• Hip Kukuvara uye Matambudziko